$364.50–$380.72
Choose 59076 when a shunt is placed for ongoing drainage; 59074 describes fetal fluid drainage without shunt placement.
On this page
CMS RVU26D · Effective 2026-10-01
59076 Fetal shunt Medicare reimbursement rates in Missouri
Report this service for ultrasound-guided placement of a shunt that redirects fluid from a fetal body space into the amniotic cavity. Compare 59076 office and facility rates across CMS payment localities in Missouri.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 59076 in Missouri?
Missouri has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$449.99–$459.47
3 of 3 localities have a supported rate.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 59076 pays more and less in Missouri
Fetal intervention
About 59076: Ultrasound-guided fetal shunt placement
Report this service for ultrasound-guided placement of a shunt that redirects fluid from a fetal body space into the amniotic cavity.
A maternal-fetal medicine specialist or other qualified fetal interventionist places a shunt through the maternal abdomen and uterus into a fetal fluid space, positioning it to drain into the amniotic cavity. Examples include a pleuroamniotic shunt for fetal hydrothorax or a vesicoamniotic shunt for obstructive urinary tract disease. The service is performed under ultrasound guidance, commonly in a specialized fetal therapy setting.
Report the placement when a shunt is inserted; needle aspiration of fluid without shunt placement is a different service. Documentation should identify the fetal condition and target space, the shunt placement, and ultrasound guidance. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple-procedure reduction. Modifier 50 is inappropriate. An assistant at surgery may be paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 59076
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.77 · 63%
- Practice expense (office) RVU2.28 · 16%
- Malpractice RVU2.81 · 20%
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
59076 compared with similar codes
Office rates for Missouri, from the same CMS release.
$377.45–$395.03
59070 is used for ultrasound-guided transabdominal amnioinfusion. It adds fluid to the amniotic cavity rather than placing a fetal shunt.
No office rate
59072 describes ultrasound-guided umbilical cord occlusion. It is a cord intervention, not placement of a shunt to drain a fetal body space.
Compare 59076 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
3 of 3 payment localities
Metropolitan Kansas City →
Office / nonfacility
Unavailable
Facility
$456.13
Metropolitan St. Louis →
Office / nonfacility
Unavailable
Facility
$459.47
Rest Of Missouri →
Office / nonfacility
Unavailable
Facility
$449.99
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59076 billing questions
How does this differ from fetal fluid drainage, 59074?
59076 is for placing a shunt to provide ongoing drainage. Use 59074 for fetal fluid drainage without shunt placement.
Can ultrasound guidance be reported separately?
Ultrasound guidance is part of the described shunt placement service. Document the imaging guidance used for the placement.
Should modifier 50 be appended for shunts on both sides?
No. Modifier 50 is inappropriate for this code.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures are subject to the standard multiple-procedure reduction. An assistant at surgery may be paid, but co-surgeons and team surgery are not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,63759070,,Transabdom amnioinfus w/us,A,,5.11,5.34,,1.51,,1.63,12.08,8.25,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63859072,,Umbilical cord occlud w/us,A,,8.77,2.28,NA,2.28,,2.81,13.86,13.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,63959074,,Fetal fluid drainage w/us,A,,5.11,4.89,,1.51,,1.63,11.63,8.25,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64059076,,Fetal shunt placement w/us,A,,8.77,2.28,NA,2.28,,2.81,13.86,13.86,0,000,0.00,0.00,0.00,2,0,2,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64159100,,Remove uterus lesion,A,,13.04,5.85,NA,5.85,,4.18,23.07,23.07,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64259120,,Treat ectopic pregnancy,A,,12.35,5.70,NA,5.70,,3.95,22.00,22.00,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,64359121,,Treat ectopic pregnancy,A,,12.42,5.61,NA,5.61,,3.98,22.01,22.01,0,090,0.17,0.60,0.23,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00